Liu X, Wen M K, Liu H Y, Sun D W, Lang J H, Fan Q B, Shi H H
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China.
Zhonghua Fu Chan Ke Za Zhi. 2017 Oct 25;52(10):675-678. doi: 10.3760/cma.j.issn.0529-567X.2017.10.006.
To investigate clinical outcomes of laparoendoscopic single-site ovarian cystectomy compared with traditional multi-port laparoscopic ovarian cystectomy. Data of 81 patients with ovarian cystectomy from January 2016 to May 2017, the single-site group (40) and the multi-port group (41) in Peking Union Medical College Hospital were retrospectively collected. The outcomes of single-site and multi-port groups were analyzed and compared, including: postoperative fever, operation time, blood loss, hemoglobin change, surgical complications, postoperative pain score, postoperative analgesic requirements, body image scale and cosmetic score, length of hospital stay, postoperative total cost. No complication was found in two groups. No difference was found in postoperative fever, blood loss, hemoglobin change, postoperative pain score, length of hospital stay, and total cost between the two groups (all 0.05). Operation time was (50±20) minutes in single-site group, and (40±15) minutes in multi-port group; postoperative analgesic requirements was 28%(11/40) in single-site group, and 7%(4/41) in multi-port group; cosmetic score was 22.6±2.6 in single-site group, and 17.3±2.6 in multi-port group; body image scale was 5.7±1.2 in single-site group, and 6.2±1.2 in multi-port group; these four clinical parameters were statistical differences (all 0.05). Laparoendoscopic single-site ovarian cystectomy is feasible and safe, although it could't relieve the postoperative pian, it do offer a higher cosmetic satisfaction.
探讨单孔腹腔镜卵巢囊肿切除术与传统多孔腹腔镜卵巢囊肿切除术的临床疗效。回顾性收集2016年1月至2017年5月在北京协和医院行卵巢囊肿切除术的81例患者资料，分为单孔组（40例）和多孔组（41例）。分析比较两组的手术效果，包括：术后发热、手术时间、出血量、血红蛋白变化、手术并发症、术后疼痛评分、术后镇痛需求、体像量表及美容评分、住院时间、术后总费用。两组均未发现并发症。两组术后发热、出血量、血红蛋白变化、术后疼痛评分、住院时间和总费用比较，差异均无统计学意义（均P>0.05）。单孔组手术时间为（50±20）分钟，多孔组为（40±15）分钟；单孔组术后镇痛需求为28%（11/40），多孔组为7%（4/41）；单孔组美容评分为22.6±2.6，多孔组为17.3±2.6；单孔组体像量表评分为5.7±1.2，多孔组为6.2±1.2；这四项临床指标差异均有统计学意义（均P<0.05）。单孔腹腔镜卵巢囊肿切除术可行且安全，虽然不能减轻术后疼痛，但能提供更高的美容满意度。
